Background: Respectful Maternity Care (RMC) is a basic human right for every childbearing woman. Acts of disrespectful maternity care and abuse are commonly reported worldwide and are recognized as a powerful deterrence to facility based childbirth than the traditionally known accessibility. In Kenya, acts of disrespect and abuse are frequently reported. Objectives of the study: To assess the prevalence of disrespectful maternity care and abuse among women seeking maternity care services at the Kenyatta National Hospital, Nairobi. Methods: This study was conducted at the Kenyatta National Hospital maternity wards. A descriptive study design was employed and targeted 164 respondents. The study utilized an interviewer administered questionnaire and an observational checklist to collect required data. Participants were sampled using simple random sampling method. Data was collected between July 15 th and July 30 th 2017 and was entered, cleaned and analyzed using SPSS